Pennsylvania Code (Last Updated: April 5, 2016) |
Title 28. HEALTH AND SAFETY |
PART IV. Health Facilities |
Subpart B. General and Special Hospitals |
Chapter 103. Governance and Management |
SubChapter A. GOVERNING PROCESS |
Section 103.34. Personnel policies and practices
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The governing body, through the chief executive officer, shall ensure that personnel policies and practices which adequately support sound patient care are established and maintained. The policies shall be reduced to writing and made available to all employes, and they shall be reviewed periodically, but no less often than once every two years. The date of the most recent review shall be indicated on the written policies. A procedure shall be established for notifying employes of changes in the established personnel policies.
Notation
Based on this regulation and other Federal and State legislation and case law, the medical center had a duty to grant privileges only to those physicians determined to be competent to provide the medical services authorized by the privileges and to implement quality control procedures to ensure proper patient care. Gurevitz v. Piczon, 42 D. & C. 4th 308 (1999).